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General NPI Number Information
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NPI Number | 1770965758
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER W CHU MD, INC
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 711 W COLLEGE ST STE 540
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City | LOS ANGELES
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State | CA
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Zip | 90012-1246
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Country | US
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Telephone | 213-673-1880
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Fax | 213-627-7516
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Provider Business Mailing Address
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Address Line | 900 N ALAMEDA ST # 86996
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City | LOS ANGELES
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State | CA
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Zip | 90012-2904
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Country | US
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Telephone | 213-673-1880
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Fax | 213-627-7516
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER W CHU
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Credential | M.D
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Telephone | 213-673-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A111172
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License Number State | CA
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